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2005-2007 Academic Catalog

Reimbursement Analyst Certificate

Department: Health Information Management
Department Chair: Marsha Holey
Program Option: Certificate

The reimbursement analyst certificate focuses on a specific area of health information, the intersection of clinical information and financial information. As a student in the reimbursement analyst program, you will learn to bridge the information gap between the Revenue Management department and the services provided by clinicians in order to ensure appropriate reimbursement to the healthcare institution. You also will gain knowledge you’ll need to play a leadership role in the management of the revenue cycle.

The reimbursement analyst certificate program educates you for this role by preparing you to demonstrate knowledge of theory and principles of coding diagnoses and procedures using healthcare coding systems such as Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS); demonstrate knowledge of medical terminology; manage the use of clinical data required in Prospective Payment Systems (PPS) and other reimbursement systems in healthcare; participate in the selection and development of applications and processes for charge description master (CDM) and claims management; demonstrate knowledge of accounting and financial practices in healthcare organizations; identify and apply ethical reimbursement practices in healthcare; communicate orally and in writing.

To be admitted to the program, you need previous healthcare educational experience or related healthcare work experience. Examples of people with necessary education or experience include health information managers, health information specialists, coding specialists, individuals with business and finance degrees who are interested in transitioning into healthcare careers, individuals with other healthcare degrees interested in changing careers within the healthcare industry, students in healthcare or business programs at the College of St. Catherine interested in an additional certificate or course work and students without any formal college certificate or degree, but with at least two years of related work experience in healthcare.

HIMP 1050 Medical Terminology for Health Information Professionals
HIMP 2750 Reimbursement Systems
HIMP 3100 Coding Principles for Healthcare Management.
HIMP 3150 Revenue Management for Healthcare Organizations
HIMP 3450 Strategic Management of Healthcare Informatics


URL: http://minerva.stkate.edu/academiccatalog0709.nsf/pages/reimbursement_analyst_certificate
This page was created on 05/03/2007 and last updated on 05/03/2007.
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